Individual
CAROLYN SUE DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPY
Contact information
Practice address
109 W 9TH ST, PLAINVIEW, TX 79072-7209
(806) 293-6400
(808) 864-3357
Mailing address
109 W 9TH ST, PLAINVIEW, TX 79072-7209
(806) 293-6400
(808) 864-3357
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
05266
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05266
MASSAGE THERAPY REFLEXOGLIST
TX
Enumeration date
08/06/2008
Last updated
08/06/2008
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